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Carath – ett verksamhets­initierat  kvalitetsregister och processtöd. Ger toraxkirurgin bra möjlighet att följa vårdprocessen: [Carath - a quality registry and process support. Good possibility for throacic surgery to follow the care process]
Universitetssjukhuset, Örebro.
Umeå universitet .
Norrlands universitetssjukhus, Umeå.
Östergötlands Läns Landsting, Heart and Medicine Centre, Department of Thoracic and Vascular Surgery in Östergötland.
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2011 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, no 26-28, 1365-1369 p.Article in journal (Refereed) Published
Abstract [sv]

Vi redovisar här våra mång­åriga erfarenheter av uppbyggnaden och implementeringen av ett IT-processtöd (Carath) för specialiserad vård, i detta fall toraxkirurgi.

Kombinerade kvalitets- och processdata ur Carath har givit en unik möjlighet att följa för vårdprocessen relevanta nyckeltal.

Sjukvårdsprocesser är komplexa. Bristande detaljkunskap om dessa eller underskattning av tidsåtgång för planering leder till fel i databasen, vilka kan vara svåra att korrigera i efterhand.

Avsevärda resurser bör avsättas för att säkerställa en god validitet på data i ett kvalitetsregister.

Komplexiteten i att koppla ihop t ex kvalitetsregister och datajournal med varandra på ett tillförlitligt vis ska inte underskattas.

Abstract [en]

Carath is the name of a database and outcomes registry for cardiovascular surgery used and developed by four Swedish cardiothoracic centres in cooperation.  This report focuses on our experiences, positive and negative, of designing and implementing a “tailor made” database program for process control in mainly cardiac surgery. The system now provides valuable, and in some ways unique information on medical outcomes as well as administrative data. We have also become very aware of the difficulties involved in maintaining a good quality of data in multicentre medical registries. Several factors, not least the human factor, must be taken into account when building user friendly databases and quality registries. Variables must be well defined. Also, direct linking of data and outcomes directly from digitalised patient records has proved to be complicated - technically and due to the complexity of health care processes.

Place, publisher, year, edition, pages
2011. Vol. 108, no 26-28, 1365-1369 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-76232OAI: oai:DiVA.org:liu-76232DiVA: diva2:513073
Available from: 2012-03-30 Created: 2012-03-30 Last updated: 2017-12-07

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Dahlin, Lars-Göran

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Department of Thoracic and Vascular Surgery in ÖstergötlandThoracic SurgeryFaculty of Health Sciences
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Medical and Health Sciences

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